JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY
REFERENCES
NOTED THAT PCR POSITIVITY CORRELATED WITH AN INCREASEDDURATIONOF ILLNESSATPRESENTATION (MEDIAN OF 14; 10-20 VS. NINE DAYS, P=0.027). SEVERITY, HOWEVER, WAS UNRELATED TO PCR POSITIVITY. SOME OF THE FINDINGS THEY FOUND ONMRI ANDCT IMAGING INCLUDE CEREBRAL EDEMA (45%), MENINGEAL INFLAMMATION (36.4%), AND FOCAL PARENCHYMAL HYPER-INTENSE LESIONS ON T2-WEIGHTED FLAIR MRI (45%).2 NTRODUCTION Ticks are highly versatile arthropod vectors of zoonotic diseases that are not afflicted by the pathogens they can transmit during blood-feeding. Unlike mosquitoes, ticks transmit the broadest range of pathogens, including bacteria, viruses, and parasites. Ticks have capitalized on competitive advantages afforded them by current changes in climate and human lifestyle. The most significant advantages benefitting tickborne diseases include (1) wider geographic distributions at higher elevations; (2) longer active breeding and blood-feeding seasons as a result of increases in global mean temperatures; (3) greater abundance 13. Van de Beek, D., De Gans, J., Spanjaard, L., et al. Clinical features and prognostic factors in adults with bacterial meningitis. The New England Journal of Medicine . October 2004. 351 (18): 1849–59. 14. Liu, J., Jiguo, G., and Chunkui, Z. A Case Report on Eosinophilic Meningitis Caused by Angiostrongylus Cantonensis. International Journal of Medical Sciences 8.6, 2011: 510-13. 10. Walden, H. D., Stockdale, J. D., Slapcinsky, S. R., et al. Geographic Distribution of Angiostrongylus Cantonensis in Wild Rats (Rattus Rattus) and Terrestrial Snails in Florida, USA. Plos One 12.5, May 18, 2017 11. Kuberski, T.,Wallace, G.D. Clinicalmanifestations of eospinophlicimeningitis due to Angiostrongylus cantonensis. Neurology 1979; 29: 1566-70. 12. Huang D.B., Schantz P., White C.A. Helminthic infections. In: Scheld WM, Whiteley RJ, Marra CM eds. Infections of the central nervous system. 3rd ed.Philadelphia, PA: Lippincott William & Wilkins , 2004: 797-828. 1. Nguyen, Y., Rossi, B., Argy, N., et al. Autochthonous Case of Eosinophilic Meningitis Caused by Angiostrongylus Cantonensis. France, 2016. Emerging Infectious Diseases 23.6. June 23, 2017: 1045-046. 2. McBride, A., Tran Thi Hong, C., Thi Thu Hong, N., et al. Angiostrongylus Cantonensis Is an Important Cause of Eosinophilic Meningitis in Southern Vietnam | Clinical Infectious Diseases | Oxford Academic. OUP Academic. Oxford University Press, Feb. 04, 2017. 3. Lv, S., Zhou, X-N., and Andrews, J.R. Eosinophilic Meningitis Caused by Angiostrongylus Cantonensis. ACS Chemical Neuroscience , 2017. 4. "Parasites - Angiostrongyliasis (also Known as Angiostrongylus Infection)." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention , 28 Dec. 2015. 5. Wang, Q. P., Lai, D. H., Zhu, X. Q., et al. "Human angiostrongyliasis." Lancet Infect. Dis. 2008, 8 (10), 621−630. 6. Jindrak K., Hornabrook, R.W. Angiostrongyliasis cantonensis (eosinophilic meningitis, Alicata’s disease). Topics on tropical neurology. Philadelphia, PA: FA Davis , 1975:133-64. 7. Alicata, J.E. The discovery of Angiostrongylus cantonensis as a cause of human eosinophilic meningitis. Parasitology Today . 1991, 7: 151-153. 8. Slom, T. J., Cortese M. M., Gerber, S. I., et al. An Outbreak of Eosinophilic Meningitis Caused By Angiostrongylus Cantonensisin Travelers Returning from the Caribbean. New England Journal of Medicine. 346.9, 2002: 668-75. 9. Dalton, M. F., Fenton, H., Cleveland, C. A., et al. Eosinophilic Meningoencephalitis Associated with Rat Lungworm (Angiostrongylus Cantonensis) Migration in Two Nine-banded Armadillos (Dasypus Novemcinctus) and an Opossum (Didelphis Virginiana) in the Southeastern United States . International Journal for Parasitology: Parasites and Wildlife 6.2, June 1, 2017: 131-34. Roberto Cruz, MD, Christopher Smith, MD, Alexander Ramos, MD, and Bri- an Copeland, MD are affiliated with Louisiana State University Health Sciences Center-New Orleans, Department of Neurology in New Orleans, LA. Paula Seal, MD, MPH is affiliated with Louisiana State University Health Sciences Center-New Orleans, Department of Medicine, Division of Infectious Diseases in New Orleans, LA.
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